ELISE BONILLA

AUSTIN, TX
NPI1871005173
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: TX  110673)
Enumeration Date2017-10-27
Last Update Date2018-06-16
Business Address
ELISE BONILLA MS CCC-SLP
1508 SOUTHPORT DR APT 250
AUSTIN, TX 78704-6806
Phone number: 507-828-2305
Mailing Address
ELISE BONILLA MS CCC-SLP
1508 SOUTHPORT DR APT 250
AUSTIN, TX 78704-6806
Phone number: 507-828-2305
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